MOR-IDO-62

Code
MOR-IDO-62
Mercy ID
V-02236-01
Encounter Date
04/26/2006
Last
Moreno
First
Idolina
DOB
06/08/1962
County
Fulton
Street
29 Peachtree Avenue #2
City
Atlanta
State
GA
Zip
30305-
Cell
(404) 399-0755
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Other

Spouse Information

Last
Rizo
First
Miguel
DOB
10/07/1954
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Catia Rizo 06/16/1996 Parents GA/USA
Elizabeth Rizo 11/27/1993 Parents GA/USA
Miguel Rizo 02/03/1989 Parents GA/USA
William Rizo 01/09/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By
Felipe Perez